糖尿病中的抑郁症 - 隐藏的祸害
Arun Shirali1, Yeshoda M1, Priyanka Arun Shirali2
1Department of General Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.
没有确诊的抑郁症影响了印度近五分之一的2型糖尿病患者,使健康状况恶化. 早期检测和干预对于更好的糖尿病管理和预防并发症至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 糖尿病是印度日益严重的健康问题,影响数百万.
- 抑郁症会严重影响一个人的社会,财务和健康状况.
- 与没有抑郁症的人相比,患有抑郁症的糖尿病患者往往体验到较差的健康结果.
研究的目的:
- 调查2型糖尿病 (T2DM) 的成年患者中未诊断的抑郁症的患病率.
- 为了将T2DM的持续时间及其相关并发症与抑郁症的存在相关联.
主要方法:
- 对224名T2DM患者进行了横截面的观察性研究,这些患者访问了印度南部的OPD.
- 参与者使用汉密尔顿抑郁评分表 (HDRS17) 问卷进行了评估.
- 收集了社会人口统计,并发症和临床参数的数据,并分析了与抑郁症的关联.
主要成果:
- 22% (224人中49人) 的T2DM患者表现出未被诊断的抑郁症.
- 抑郁症与年龄较大 (平均58岁),糖尿病持续时间较长以及常见的T2DM并发症 (视网膜病,神经病,病,心脏病) 有显著的关联.
结论:
- 很大一部分T2DM患者患有未诊断的抑郁症.
- 及时诊断和对T2DM患者抑郁症的干预可以改善预后,并减少进一步的发病率.
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